2024 Q1 Stair Challenge

JUNE16

ENTRANT DETAILS

Select your Event

Team Name

First Name

Surname

Gender

Male Female

Date of Birth

Format must be DD/MM/YYYY

Email address

Mobile number

Select complementary Tshirt Size

We have complementary Stair Challenge Tees for anyone who raises more than $300 for our charity partner, LIVIN.

These are collected at the check-in desk on event day

Waiver

Your Address

Address

Suburb

Postal code

Emergency Contact Details

Contact Name

Contact Mobile number

2nd Member

First Name

Surname

Gender

Male Female

Date of Birth

Select complementary Tshirt Size

We have complementary Stair Challenge Tees for anyone who raises more than $300 for our charity partner, LIVIN.

These are collected at the check-in desk on event day

3rd Member

First Name

Surname

Gender

Male Female

Date of Birth

Select complementary Tshirt Size

We have complementary Stair Challenge Tees for anyone who raises more than $300 for our charity partner, LIVIN.

These are collected at the check-in desk on event day

4th Member

First Name

Surname

Gender

Male Female

Date of Birth

Select complementary Tshirt Size

We have complementary Stair Challenge Tees for anyone who raises more than $300 for our charity partner, LIVIN.

These are collected at the check-in desk on event day

Questions

Where did you hear about this event